| NPI | 1285962886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLISSA Y GOODWIN Care Provider 803-735-9680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 101ym0800x) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-20 |